Capas, Roben M.

HRN: 21-89-55  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/15/2022
CEFTRIAXONE 1G (VIAL)
09/15/2022
09/22/2022
IV
2g
Od
Asa Appendicitis
Waiting Final Action 
09/15/2022
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
09/15/2022
09/22/2022
IV
500mg
Q8
Asa:ap
Waiting Final Action 

AMS Audit Form


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 Indication:

              

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 Compliance to guidelines:



 Initial appropriateness:



 If inappropriate:

           

 Final appropriateness:



 If inappropriate:

              

 Overall appropriateness: